2018 Scholarship ApplicationPLEASE NEATLY PRINT OR TYPE ...



Ohio Gas Association Scholarship Foundation2018 Scholarship Application GuidelinesSCHOLARSHIP INFORMATIONApplications are accepted between January 15, 2018 and March 16, 2018Scholarship winners will be announced in April 2018$1,000 annual scholarship may be renewed up to three additional years.If qualified, renewal application must be completed annually during application period.Scholarships are limited to undergraduate college studies, technical or trade school programs.MINIMUM APPLICANT CRITERIAMust be a U.S. citizen or legal resident.Must have a career goal in the crude oil and natural gas industry, or related energy field.Must be an OHIO resident attending, or planning to attend an accredited OHIO college, university, technical, or trade school.Must have and maintain a grade point average (G.P.A.) of 3.0 or higher.SUBMISSION REQUIREMENTSCompletion of three-page application, signed and dated.Two letters of recommendation from a teacher, employer or other mentor figure. Note: Recommendations from family members are not acceptableAn essay consisting of no less than 250 words, and no more than 500 words, describing personal and career goals, academic achievements, extracurricular activities, awards/recognitions, community service, work history, financial needs, and personal or family influences. High School or College, Trade School or Technical School Transcript for highest level of education receivedACT and/or SAT test scores, if applicable.RETURN COMPLETED FOUR-PAGE APPLICATION WITH ATTACHMENTS NO LATER THAN MARCH 16, rmation received after this date will render the application incomplete and it will not be processed.RETURN APPLICATION TO:Ohio Gas Association Scholarship FoundationAttn: Scholarship Awards137 E. State StreetColumbus, OH 43215Phone: (614) 545-6307PAGE 1 PERSONAL INFORMATIONFull Name:_______________________________________________________________________4941570844550039312858318500Date of Birth (MM/DD/YY):________________________ Male Female 38188908128000Are you a U.S. Citizen or legal resident living in Ohio? Yes 495173088900003056890895350021355058318500Primary Mailing Address: Home School Parent/Guardians House Street Address:_____________________________________________ Apt #: ___________ City:_________________________________ State: _______________ Zip Code:_________591947076200003940810793750029667207429500Secondary Mailing Address (if needed): Home School Parent/Guardian’s Home Street Address:_____________________________________________ Apt #: ___________ City:_________________________________ State: _______________ Zip Code:_________Primary Phone:___________________________ Secondary Phone:_______________________Email:_________________________________________________________________________453517085090003694430641350025126957302500Are you currently a student? Full-time Part-time No 454342578740003704590857250025222203048000Are you currently working? Full-time Part-time No45459656096000371538510033000Are you currently enlisted in the military or a veteran? Yes Nopage 2 45688258001000372554580010 00 Have you previously applied for an OGA scholarship? Yes No If Yes, what year(s)?_____How are you funding your education? (Check all that apply):190505842000 Personal Income31757937500 Scholarships-444510414000 Financial Aid / Grants-127008001000 Student Loans107959271000 Parent/Guardian Income1841510350500 Other (Please Specify) ____________________________________________________________________________________________________________________________________________________________________________________________FAMILY INFORMATION566166050165Father’s Employment/Occupation:_____________________________________ Deceased56753762133500Mother’s Employment/Occupation:____________________________________ Deceased492561280645413432081390Do you have any other siblings currently attending college? Yes No Page 3EDUCATIONAL INFORMATION FOR HIGH SCHOOL STUDENTS ONLYCareer Goal:______________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________High School Name:_________________________________________________________________ City:_______________________________________________ State:______________________GPA:_______________ Anticipated Date of High School Graduation (MM/YY):_________________ACT Test Score (if applicable):_________________ SAT Test Score (if applicable:______________3090545831850022612358699500Transcript and Essay Attached? Yes No If No, explain reason: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________College, University, Technical or Trade School Enrolled:___________________________________ City:_______________________________________________ State:______________________Major or Field of Study:______________________________________________________________If Not Enrolled, Explain Status of Admission and Reason:____________________________________________________________________________________________________________________________________________________________________________________________Page 4EDUCATIONAL INFORMATION FOR College/Technical or Trade School STUDENTS ONLY Career Goal:______________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________College, University, Technical or Trade School Attending:___________________________________ City:_______________________________________________ State:______________________Major or Field of Study:______________________________________________________________GPA:___________________ Anticipated Date of Graduation (MM/YY):_______________________ACT Test Score (if applicable):_________________ SAT Test Score (if applicable:______________3291205742950024453858001000Transcript and Essay Attached? Yes No If No, Explain Reason: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________SIGNATURE OF APPLICANTI certify that all information is true and accurate. I authorize independent verification. I understand that if I am awarded an OGA Scholarship, information contained in this application may be released to the media.Signature of Applicant:________________________________________ Date:_________________ ................
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